Natalia Mestres Franco
Internal Medicine · San Juan, PRNPI 1013416056
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 150 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 14.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,716, more than ten times the $25 reported in 2021. Among internal medicine clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 150 payments — averaging $35.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$750
- Amgen$633
- AstraZeneca$467
- PBG Puerto Rico LLC$288
- Tempus AI, Inc$288
- Novartis$260
- plus $3K from 23 others
What the payments were for
- Food & beverage$5,259100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie | 21 | $750 |
| Amgen | 14 | $633 |
| AstraZeneca(2 entities) | 12 | $467 |
| PBG Puerto Rico LLC | 14 | $288 |
| Tempus AI, Inc | 7 | $288 |
| Novartis | 11 | $260 |
| Taiho Oncology, Inc. | 2 | $249 |
| Incyte Corporation | 7 | $246 |
| Sobi, Inc | 5 | $239 |
| Sanofi | 5 | $216 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $168 |
| Merck | 8 | $155 |
| Servier Pharmaceuticals LLC | 2 | $150 |
| Adaptive Biotechnologies Corporation | 2 | $149 |
| Regeneron Healthcare Solutions, Inc. | 6 | $145 |
| ADC Therapeutics America, Inc. | 2 | $144 |
| Vifor Pharma, Inc. | 1 | $125 |
| Johnson & Johnson | 5 | $112 |
| Eli Lilly Export S.A. Puerto Rico Branch | 5 | $100 |
| GSK | 3 | $68 |
| Genentech USA, Inc. | 3 | $61 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $60 |
| Telix Pharmaceuticals | 2 | $48 |
| Exelixis Inc. | 1 | $28 |
| Syndax Pharmaceuticals, Inc. | 1 | $25 |
| AVEO Pharmaceuticals, Inc. | 1 | $23 |
| Genmab U.S., Inc. | 1 | $22 |
| Caris MPI, Inc. | 1 | $21 |
| Pfizer | 1 | $19 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$5,259 in reported general payments places this provider in the 95th percentile of 1,043 internal medicine providers in Puerto Rico.
Other internal medicine in San Juan
- Ricardo FernandezSan Juan$351K
- Norma SalgadoSan Juan$21K
- Victor Gordo GonzalezSan Juan$21K
- Roberto Calderon SantiagoSan Juan$20K
- Natalia Almodovar ArbeloSan Juan$9K
- Jeremy FelicianoSan Juan$8K
- Porfirio Diaz-RodriguezSan Juan$8K
- Pedro del Valle de TomasSan Juan$7K
- Rafael Figueroa NavarroSan Juan$6K
- Amilcar Torres FigueroaSan Juan$6K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.